Note: The job is a remote job and is open to candidates in USA. Revecore helps hospitals recover earned revenue through specialized expertise and proprietary technology. The Customer Operations (Workers Compensation Claims) billing specialist investigates and resolves workers' compensation medical claims, submits bills and documentation, maximizes payments, and supports client success through outbound communication and special projects.
Responsibilities
- You will be busy investigating and resolving troubled and/or denied workers' compensation claims
- This will require a high volume of outbound calls to patient employers, insurance company representatives, attorneys and patients
- Once confirmed, you will submit the bills and proper documentation to the insurance company, or the appropriate payer, ensuring maximized payments to our clients (medical providers)
- If the bills aren't paid correctly, you will review the information/documentation provided by the payer in order to determine what to do next
- You will also contribute to your team by participating in special projects in order to achieve goals and ensure client success
Skills
- Have a working knowledge of Microsoft Office (Word, Excel, Outlook)
- Possess technical proficiency to work on multiple computer screens and software applications simultaneously
- Can maintain strong performance in a fast-paced environment with productivity metrics
- Remain organized while multi-tasking
- Use critical thinking and problem-solving skills to find effective and efficient solutions
- Communicate clearly and professionally, both verbally and in writing
- A private, distraction-free environment to work from in your home
- On-Camera Presence: Being on camera is an essential part of our culture--it helps build trust, support collaboration, and strengthen team connections
- A secure internet connection is required
- Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
- The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive
- Must reside in the United States within one of the states listed below: Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia
- Have experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required)
Benefits
- Incentive Plan
- Extensive multi-week training with ongoing support from teammates following training.
- Access to a robust knowledgebase for continued reference in your role.
- Computers and necessary work equipment are provided.
- Remote work from home
Company Overview